Mouthpiece ventilation and complementary techniques in patients with neuromuscular disease: A brief clinical review and update. (May 2017)

• Record Type: Journal Article
• Authors: Pinto, Tiago; Chatwin, Michelle; Banfi, Paolo; Winck, Joao Carlos; Nicolini, Antonello
• Is Part Of: Chronic respiratory disease. Volume 14:Number 2(2017)
• Page Start: 187
• Page End: 193
• Publication Date: 2017-05
• Subjects: Neuromuscular disease -- noninvasive ventilatory support -- mouthpiece ventilation -- daytime ventilatory support -- complementary techniques; Respiratory organs -- Diseases -- Periodicals; 616.2005
• DOI: 10.1177/1479972316674411
• Languages: English
• ISSNs: 1479-9723

Abstract

Noninvasive ventilatory support (NVS) is sometimes reported as suboptimal in patients with neuromuscular disease (NMD). The reasons for this include inadequate ventilator settings and/or lack of interface tolerance. NVS has been used for many years in patients with NMD disorders as a viable alternative to continuous ventilatory support via a tracheostomy tube. The mouthpiece ventilation (MPV) is a ventilatory mode that is used as daytime ventilatory support in combination with other ventilatory modalities and interfaces for nocturnal NVS. However, there is still a poor understanding of this method's benefits compared with other modalities. This review aims to highlight the indications and advantages along with the disadvantages of MPV.